Individual
NANCY LUCILLE HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
715 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5016
(865) 908-9888
(865) 908-8756
Mailing address
715 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5016
(865) 908-9888
(865) 908-8756
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA623
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4115987
BCBST
TN
Enumeration date
06/29/2006
Last updated
07/08/2007
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